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The College Connection

The Women of Reform Judaism and Brotherhood of Temple Judea are again sponsoring the College Connection. We send gifts to students of our Temple Family for the Chanukah, Purim and Passover holidays. In order too do this, we need the following information about your children or grandchildren who attend college and are away from home for the holidays. Please fill out the form below and help us to continue this successful program.

Donations are very much appreciated to help defray the costs.

Student's Name *
Maximum Allowed: 30 characters. Currently Used: 0 characters.

Put your student's first and last name in this field
College/University Name and Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Student's Email
Year in College
Date of Birth MM / DD / YYYY
Parents' Names *

Input the Name of the Temple Member Requesting this Service for their Child
Parent/Grandparent/Guardian's Email *

Please give us your Email Address
What is your Phone Number? * ### - ### - ####
Give us the telephone number where we can reach you if we have any questions
For which holiday(s) will your Child be at school? *
Chanukah Purim Passover

Select as many as apply
Do Not Fill This Out

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